Individual
MACKENZIE STANLEY RAFULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11555 CENTRAL PKWY STE 703, JACKSONVILLE, FL 32224-2699
(904) 402-7677
Mailing address
11555 CENTRAL PKWY STE 703, JACKSONVILLE, FL 32224-2699
(904) 402-7677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND14392
FL
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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